Unno/Imo/Hazard Records

{!! Html::decode(Form::label('name', 'Name*', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('name', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('name', '

:message

') !!}

{!! Html::decode(Form::label('hazard', 'Hazard *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('hazard', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('hazard', '

:message

') !!}

{!! Html::decode(Form::label('unno', 'Unno *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('unno', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('unno', '

:message

') !!}

{!! Html::decode(Form::label('imo', 'Imo *', ['class' => 'col-md-4 control-label'])) !!}

{!! Form::text('imo', null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('imo', '

:message

') !!}

{!! Form::label('status', 'Status', ['class' => 'col-md-4 control-label']) !!}

{!! Form::select('status', ['Inactive', 'Active'], null, ['class' => 'm-wrap span12']) !!} {!! $errors->first('status', '

:message

') !!}

{!! Form::submit(isset($submitButtonText) ? $submitButtonText : 'Create', ['class' => 'btn green']) !!}